The first heavy menstrual flow after medical abortion

It is normal for women to experience irregular menstruation after medical abortion. Medical abortion stimulates the female body to secrete hormones that cause body disorders through drugs, so that the gestational sac can be expelled from the body. Of course, after the medical abortion, if the recovery is good, you should also pay attention to not having sex within one month. Also, remember to pay more attention to your own hygiene habits, otherwise it is easy to cause inflammation in your body.

· Gynecological examination items and costs

Main inspection items

1. Routine gynecological examination

In addition to a brief overview of your body, the doctor will also check the vagina, vulva, cervix, uterus, etc. to understand the health of these major reproductive organs.

2. Ultrasound examination

Through the examination, the condition of the uterus and its appendages can be observed more clearly, and diseases such as uterine fibroids can be discovered more quickly, but this requires holding urine beforehand to ensure clarity. If holding your urine makes you uncomfortable, you can also use vaginal B-ultrasound, which has the same effect.

3. Cervical smear test

Hearing the word "scrape", many people may feel inexplicably nervous, but there is not much discomfort when actually doing it. The doctor will use a clean brush to carefully rub the cervix so that the relevant cells can be removed for examination. This examination is the most accurate way to distinguish between cervical cancer and cervical erosion.

4. Leucorrhea examination

You can collect your leucorrhea by yourself. After receiving it, professionals will use high-tech instruments to observe the cleanliness of your lower body and accurately determine whether there is inflammation, bacteria, or trichomoniasis.

5. Breast examination

By using infrared rays emitted by the instrument to detect the condition of the breasts, diseases that cannot be observed by the naked eye can be discovered in a timely manner. It is convenient and efficient.

Related costs

Generally speaking, a basic checkup costs 90 yuan, but if you want a more in-depth TCT (200 yuan) or black and white B-ultrasound test (40 yuan), the estimated cost is around 300 yuan. However, hospital fees vary from place to place, so it is best to conduct relevant consultations on site.

1. Consultation

The doctor will ask specific questions about all aspects of your body, including the age of your first menstruation, your cycle, the amount of bleeding each time, the day of your last menstruation, whether you have had sexual activity, your medical history, etc.

2. Internal examination

It is mainly aimed at married women or women who have intimate activities. Unmarried people do not need this diagnosis to avoid injury to the hymen. The specific operation method is to let the woman take off her underwear and lie down, place her legs on two supports, and expose her vulva. Next, the doctor will wear thin gloves, extend his index and middle fingers into the woman's vagina, carefully touch the cervix, and extend his other hand to gently press the woman's belly. This process lasts about 60 seconds and can determine whether the uterus and its appendages are normal.

3. Routine testing of leucorrhea

You only need to take a certain amount of vaginal discharge from your lower body and send it to the laboratory. After the test is completed, you will receive a routine vaginal discharge test form, and you can see the following terms:

(1) Fungi and Trichomonas. As long as they exist, a "+" sign will appear no matter how many there are.

(2) Vaginal cleanliness. It is divided into four levels: Grade I, Grade II, Grade III, and Grade IV. As the level increases, the number of vaginal fungi decreases significantly, while the number of pus cells and miscellaneous bacteria that are harmful to health increases. Therefore, if the result shows grade I or grade II, it means that the leucorrhea is normal, but if it shows grade III or grade IV, it means that there is inflammation.

(3) pH value. The environment of women's private parts has a certain degree of acidity and alkalinity. Generally speaking, leucorrhea should be weakly acidic to resist the harassment of bacteria. This is also the main way for the reproductive organs to clean themselves. If the pH value is greater than 5, it means that the private parts have been attacked by inflammation or trichomonas and are in a dangerous environment.

(4) Clue cells. This type of cell will only appear in female patients with bacterial inflammation in the private parts. If its presence is confirmed in the report, be careful of bacterial vaginosis. Of course, the doctor will further combine it with amine test to make a judgment.

(5) Amine test. If your secretions have a disgusting fishy smell, it is because the amines in the secretions evaporate and emit an odor. Therefore, this experiment can be used to determine whether you are suffering from bacterial inflammation.

If the above test shows that the leucorrhea does not contain (1), but shows grade III, further investigation of this item is required. The subject of the study is also the secretions from the lower body, and a report can be obtained in about half an hour to check whether there is inflammation.

5. Mycoplasma and Chlamydia Detection

It is suitable for women who experience pain during sexual intercourse, have too many sexual partners, or have abdominal distension and pain. It can be used to check whether they are suffering from non-gonococcal vaginitis by examining the cervical mucus.

6. Drug sensitivity test

If the diagnosis is confirmed through the fifth test, the doctor will give you medication, but before that, this test will be used to select antibiotics suitable for your body.

Preparation before gynecological examination

1. Dress

Choose clothes that are easy to put on and take off, and avoid wearing complicated and difficult clothing to prevent inconvenience during the examination. If conditions permit, it is recommended that you choose a skirt. During the examination, you only need to lift it lightly, which is very convenient for both patients and doctors.

2. Time needs to be managed well

Do not choose to check during your menstrual period. It is best to check on the third day after your menstrual period, but be careful not to exceed one week. If you can't grasp the timing, you can also choose to avoid the period of menstruation.

3. Be well prepared

If you are going to a specialist clinic for examination, it is best to make an appointment with the doctor in advance. In addition, you should record your menstrual conditions for the past three months, including flow rate, start and end days, duration, etc., to help your doctor understand your physical condition. If you have a lot of questions you want to ask your doctor, you might want to list them ahead of time.

4. Stay away from sex

In the early stage of the examination, you should refrain from intimate behavior with your lover to prevent semen from flowing into the body and affecting the accuracy of the sample test. If you have to do so, you must use condoms.

5. Take a break and empty your bladder

If you feel the urge to urinate, you must empty your bladder before the test. You must also rest and not eat anything if you want to have your blood drawn.

6. Don’t douche

It is certainly okay to take a shower the day before the examination, but it is not advisable to clean private areas. Do not use medications to treat lower body infections, otherwise potential cancer cells and bacteria may be washed away or hidden, making them difficult to detect.

7. It is best to be accompanied by family members

It is best to ask your mother, sister or friend to accompany you for the examination. This will not only provide psychological comfort, but also provide someone to take care of you in case of an accident.